the hebrew book of medicines attributed to asaf the physician

5
Elinor LIEBER (Oxford, England) B29 This very long Hebrew work has never yet been published in full, and I am now preparing the first critical edition of the text, from all the manuscripts, together with a translation and notes *. In view of the many difficulties involved in this task, some of which I shall be discussing here, any conclusions I shall present are only tentative, and I would welcome any comments, suggestions or questions which might help me to deal with the many problems which still remain to be solved. «The Book of Medicines » is a misleading name, since it implies that the work is simply a collection of prescriptions. It is in fact an encyclopaedia, covering almost every aspect of ancient medicine, other than surgery and obstetrics. As such it takes its place in the great tradition of medical encyclopaedic works, in Greek, Latin, Sanscrit, Syriac, Chinese, Tibetan and Arabic, which were compiled from the very beginning of this era up to the end of the Middle Ages, and were always based on much earlier material. According to its Introduction the «Book of Medicines» was copied by ancient sages from the « Book of Shem, son of Noah», which was taken down by Noah after the Flood from the words of the Angel Raphael, God's healing angel. The sages of India, « Macedonia », Egypt and Mesopotamia are particularly specified, but only four of them are actually named : Hippocrates, «Asaf the Jew», Dioscorides and Galen. Apart from Asaf, of whom we know nothing, these are the greatest names in Greek medicine. If they have been intentionally placed in chronological order, it would denote that Asaf lived between the time of «Hippocrates» and that of Dioscorides; that is, at some period between the 5th century B.C. and the 1st century A.D. However, no physician, Jewish or otherwise, is known by this name, although several minor Biblical figures are called Asaf; and in Muslim legend Asaf was indeed a sage, as the vizier of King Solomon. In the main the work claims to represent the medical teachings of Asaf, as taken presumably from the legendary « Book of Medicines ». However, some of the sections are presented in the name of a similarly unknown Yohanan, or John. In both cases these « teachings » are reported as if they had been transmitt- ed by word of mouth, and had then been taken down in writing by the hearer, possibly a pupil. The actual concepts expressed in the work are overwhelmingly Greek, and largely Hippocratic in origin. However, as hinted in the Introduction, there are (*) I am most grateful to the Wellcome Trust, London, for their support of this work. 248 THE HEBREW « BOOK OF MEDECINES » ATTRIBUTED TO SAF THE PHYSICIAN : an early mediaeval encyclopaedia of Greek médecine, based on an Indian model.

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This is an attempt to establish the provenance of Asaf's Sefer Refuot.

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Elinor LIEBER (Oxford, England)

B 2 9

This very long H e b r e w w o r k has never ye t b e e n pub l i shed in full, a n d I a m n o w p r e p a r i n g the f i rs t c r i t ica l ed i t ion of t h e text , f rom all t h e m a n u s c r i p t s , t o g e t h e r w i t h a t r a n s l a t i o n a n d no t e s *. I n v iew of t h e m a n y difficult ies involved in th i s t ask , s o m e of w h i c h I shal l b e d i scuss ing he re , any conc lus ions I shal l p r e s e n t a r e only t en ta t ive , a n d I w o u l d w e l c o m e any c o m m e n t s , sugges t ions or ques t i ons w h i c h m i g h t he lp m e to deal w i t h t h e m a n y p r o b l e m s wh ich stil l r e m a i n to b e solved.

« T h e Book of Medic ines » is a mi s l ead ing n a m e , s ince it impl ies t h a t t h e w o r k is s imply a col lect ion of p r e s c r i p t i o n s . I t is in fact a n encyc lopaed ia , cover ing a l m o s t every a spec t of anc ien t med ic ine , o t h e r t h a n su rge ry a n d obs t e t r i c s . As such it t a k e s i ts p lace in t h e g r e a t t r a d i t i o n of med ica l encyc lopaed ic w o r k s , in Greek, Lat in , Sansc r i t , Syr iac , Chinese , T i b e t a n a n d Arab ic , wh ich w e r e compi l ed f rom the very beg inn ing of th i s e r a u p t o t h e e n d of t h e Midd le Ages, a n d w e r e a lways b a s e d on m u c h ear l i e r m a t e r i a l .

Accord ing t o i ts I n t r o d u c t i o n t h e « B o o k of M e d i c i n e s » w a s copied b y anc ien t sages f rom t h e « Book of S h e m , son of N o a h » , w h i c h w a s t a k e n d o w n by N o a h af te r t h e F lood f rom the w o r d s of t h e Angel Raphae l , God 's hea l ing angel . The sages of Ind ia , « Macedon ia », E g y p t a n d M e s o p o t a m i a a r e p a r t i c u l a r l y specified, b u t only four of t h e m a r e ac tua l ly n a m e d : H i p p o c r a t e s , «Asaf t h e J e w » , Dioscor ides a n d Galen. Apa r t f rom Asaf, of w h o m w e k n o w no th ing , t hese a r e t h e g r e a t e s t n a m e s in Greek med ic ine . If they have b e e n in ten t iona l ly p l aced in chronolog ica l o rde r , it w o u l d deno te t h a t Asaf l ived b e t w e e n t h e t i m e of « H i p p o c r a t e s » a n d t h a t of D i o s c o r i d e s ; t h a t is, a t s o m e p e r i o d b e t w e e n t h e 5th cen tu ry B.C. a n d t h e 1st c e n t u r y A.D. Howeve r , no phys ic ian , J e w i s h o r o the rwi se , is k n o w n by th i s n a m e , a l t h o u g h severa l m i n o r Bibl ical f igures a r e cal led Asaf ; a n d in M u s l i m legend Asaf w a s indeed a sage, a s t h e vizier of King So lomon .

I n the m a i n the w o r k c l a ims to r e p r e s e n t t he med ica l t each ings of Asaf, as t a k e n p r e s u m a b l y f rom t h e l egendary « Book of Medic ines ». Howeve r , s o m e of t h e sec t ions a r e p r e s e n t e d in t h e n a m e of a s imi la r ly u n k n o w n Y o h a n a n , o r J o h n . I n b o t h cases t h e s e « t each ings » a r e r e p o r t e d as if they h a d b e e n t r a n s m i t t ­ed by w o r d of m o u t h , a n d h a d t h e n b e e n t a k e n d o w n in w r i t i n g by t h e h e a r e r , poss ib ly a pup i l .

T h e a c t u a l concep t s exp re s sed in t h e w o r k a r e ove rwhe lming ly Greek, a n d largely H i p p o c r a t i c in or igin. However , as h i n t e d in t h e I n t r o d u c t i o n , t h e r e a r e

(*) I a m m o s t grateful to the Wel lcome Trust , London, for their support of this work .

248

THE HEBREW « BOOK OF MEDECINES » ATTRIBUTED TO SAF THE PHYSICIAN :

an early mediaeval encyclopaedia of Greek médecine, based on an Indian model.

t r a ce s of Ind i an , anc i en t E g y p t i a n a n d Pe r s i an inf luence of va r i ous k inds . The I n t r o d u c t i o n says n o t h i n g of A r a b med ic ine wh ich , indeed , pays only a m i n o r ro le in t h e w o r k , a n d is m a i n l y exp re s sed in c e r t a i n t echn ica l t e r m s , w h i c h m a y even h a v e b e e n a d d e d la te r . Th i s p e r h a p s a c c o u n t s for t h a t even m o r e u n e x p e c t e d f inding : t h e re la t ive lack of Galenic concep t s .

As in c e r t a i n o t h e r anc ien encyc lopaed ias , s u c h a s the Greek w o r k of Pau l of Aegina, o r t h e Arab ic Canon of Avicenna, i t e m s obviously t a k e n f rom o t h e r s a r e p r e s e n t e d w i t h o u t a n y re fe rence t o t h e t r u e a u t h o r . I n o u r Book, m o r e o v e r , s o m e of t hese b o r r o w e d i t e m s a r e a t t r i b u t e d t o Asaf o r t o Y o h a n a n . I n e i t he r case , t h e t a sk of ident i fying t h e source , w h e n e v e r poss ib le , a d d s grea t ly t o t h e difficulty of ed i t ing th i s w o r k .

So far 18 m a n u s c r i p t s con t a in ing g r e a t e r o r lesser p a r t s of t h e Book h a v e b e e n found in va r ious E u r o p e a n l i b ra r i e s . The longes t e x t e n d s t o s o m e 250 folios. Yet n o m a n u s c r i p t p rov ides any scr iba l i n f o r m a t i o n r e g a r d i n g t h e a u t h o r s h i p , p r o v e n a n c e o r da t i ng of t h e work , o r even of t h e m a n u s c r i p t itself. On pa l aeog raph i c evidence , however , t h e da t e s of t h e m a n u s c r i p t s r ange f rom t h e 12th to t h e 15th o r 16th cen tu r i e s , a n d all a r e a p p a r e n t l y of E u r o p e a n or igin , m a i n l y f rom I ta ly . They all va ry in t h e ex t en t a n d o r d e r of t he i r sub j ec t -ma t t e r a n d n o n e posses ses any t ab le of c o n t e n t s . Moreover , un l ike m o s t o t h e r anc i en t encyc lopaed ias , they lack any f o r m a l b ib l iog raph ica l divis ion i n t o « b o o k s » , c h a p t e r s a n d so on. I t is t h u s a l m o s t imposs ib l e to d e t e r m i n e t h e ac tua l e x t e n t of t h e work , even in i ts p r e s e n t fo rm, let a lone i ts or ig ina l nuc l eus . I t a l m o s t ce r ta in ly g r e w by acc re t ion over t h e ye a r s — o r even t h e cen tu r i e s — a n d a p p e a r e d in a n u m b e r of different ve r s ions .

As far as c a n b e j u d g e d f rom t h e ex t an t m a t e r i a l , in i t s m o s t c o m p l e t e f o r m t h e w o r k beg ins w i t h t h e I n t r o d u c t i o n , w h i c h offers a l egenda ry h i s to ry of med ic ine . This is fol lowed by long sec t ions on t h e a n a t o m y of t h e b o d y a n d on t h e anc ien t equ iva len t of physio logy, w h i c h inc ludes embryo logy , as wel l as w h a t w a s cal led b y Galen « t h e use of t h e p a r t s ». The b o d y is a lso cons ide red a s a m i c r o c o s m of the u n i v e r s e : i t s four bas ic e l e m e n t s be ing e q u a t e d to t h e c o m p o n e n t s of t he h u m o u r a l theory , in b o t h h e a l t h a n d d isease . However , these typica l med iaeva l concep t s u n d e r g o s o m e u n u s u a l modi f i ca t ions in o u r w o r k . F o r example , t h e air — one of t h e four s t a n d a r d Greek e l e m e n t s — is h e r e r ep l aced by t h e « w i n d » o r « sp i r i t » ; b o t h of w h i c h a r e e x p r e s s e d in H e b r e w by t h e s a m e w o r d : ruah. Moreover , t h e sp i r i t is b y far t h e m o s t i m p o r t a n t e l e m e n t of t he four , a n d it s e e m s to c o r r e s p o n d rough ly w i t h t h e Greek pneuma as u n d e r s t o o d by the a d h e r e n t s of t h e Greek P n e u m a t i c « S c h o o l » , r a t h e r t h a n w i t h t h e t w o or m o r e types of p n e u m a desc r ibed by Galen a n d the Arab phys ic i ans .

The w o r k a l so con ta in s long sec t ions on r eg imen , in t h e w ides t sense of t h e t e r m , t h a t is, on t h e m a n a g e m e n t of the b o d y in h e a l t h a n d in d i f ferent d i s e a s e s ; as well as n u m e r o u s p r e s c r i p t i o n s a n d a long i t e m on Medicine for the Poor. T h e t w o m a i n m a n u s c r i p t s a lso inc lude a n ex t r eme ly i n t e r e s t i ng m e d i c a l oa th , s u p p o s e d to have b e e n s w o r n to Asaf a n d Y o h a n a n by t h e i r p u p i l s : t o g e t h e r w i t h a c o m m e n t a r y on t h a t oa th , p e r h a p s f rom a l a t e r h a n d . While it shows m a n y affini t ies w i t h t h e H i p p o c r a t i c Oa th , t h e H e b r e w o a t h is n e i t h e r a p a r a p h r a s e n o r a d i rec t a d a p t a t i o n of t h e Greek text . H o w e v e r , p a r a p h r a s e d ve r s ions of t h e H i p p o c r a t i c Aphorism a n d of t h e Materia medica of Dioscor ides can easily b e ident i f ied. I t s e e m s l ikely t h a t de ta i l ed s t u d y of t h e H e b r e w oa th , as of t h e s e t w o p a r a p h r a s e s , m a y shed n e w l ight on t h e i r Greek equ iva len t s , a l t h o u g h th i s t a s k is m a d e difficult b y t h e c o r r u p t s t a t e of t h e ex t an t t ex t s a n d by t h e f r e q u e n t rev is ions w h i c h they h a v e u n d e r g o n e .

A sti l l m o r e in t r igu ing a spec t of t h e w o r k is t he p r e s e n c e of a n u m b e r of i t e m s w h i c h a r e bas ica l ly Greek, b u t inc lude concep t s w h i c h I h a v e n o t

249

found e l sewhere , in Greek o r non-Greek t ex t s . T w o of these a r e of p a r t i c u l a r i n t e r e s t : one be ing a genera l desc r ip t ion of t he blood-vessels , w h i c h seems to e m b o d y the concep t of t h e c i r cu la t ion of t he b l o o d ; whi le t h e o t h e r p r e s e n t s a novel exp lana t ion of t h e m e c h a n i s m of the pu l se . They wil l b e d i scussed e l s ewhere in specia l p a p e r s , b u t in t h e l imi t ed t i m e a t m y d i sposa l I h o p e t o w h e t y o u r a p p e t i t e s by brief ly cons ide r ing t h e f irs t of t hese i t e m s a t least .

The highly u n u s u a l n a t u r e of t h i s a c c o u n t of t h e blood-vessels w a s f irs t r ecogn ised in 1933, h e r e in Pa r i s , b y Dr. I s i d o r e S imon . Unfo r tuna te ly h is f inding h a s s ince b e e n a l m o s t to ta l ly ignored . Dr. S i m o n m a i n t a i n e d t h a t « A s a f » p r e c e d e d Harvey , a n d all o t h e r s , in ac tua l ly p o s t u l a t i n g t h e c i rcu la t ion of t h e b lood, a l t hough . Dr S i m o n t h e n modif ies th is conc lus ion by c la iming t h a t « Asaf » cou ld n o t poss ib ly have u n d e r s t o o d the s ignif icance of h i s o w n s t a t e m e n t s (1).

According to m y o w n r e a d i n g of t h i s sect ion, however , t h e c i r cu la t ion of t h e b lood is n o t specifically expressed , t h o u g h it c an ce r ta in ly b e in fe r red f rom t h e text . Yet it s e e m s to m e t h a t to jus t i fy o u r a u t h o r ' s p r io r i ty , it is n e c e s s a r y t o sub jec t t h i s tex t t o far m o r e de ta i led analys is t h a n Dr. S i m o n w a s able t o do in his a c c o u n t of t h e « B o o k of Medic ines » as a whole .

I n fact it h a s long b e e n c l a imed t h a t ce r t a in H i p p o c r a t i c wr i t i ngs show a n a w a r e n e s s of t h e c i r cu la r m o t i o n of t he b lood , a l t h o u g h th i s view has a lso been ho t ly d i s p u t e d (2). T h e r e is no doub t , m o r e o v e r , t h a t ou r H e b r e w accoun t of t h e blood-vessels s h o w s m a n y affinit ies w i t h t h e desc r ip t ion found in c h a p t e r s 12-18 of t he H i p p o c r a t i c t r ea t i s e k n o w n as Bones. Yet, in te res t ing ly enough , i t does no t r e p r o d u c e the very p a s s a g e in Bones (chap . 11) w h i c h speaks of a s ingle m a i n vein a p p a r e n t l y t ak ing a c i r cu l a r r o u t e a r o u n d t h e body . In any case , even if s o m e H i p p o c r a t i c w r i t i n g s s eem to h i n t a t t h e c i r cu la r m o v e m e n t of t h e blood, they cer ta in ly p rov ide no i n t i m a t i o n of a c i r cu la to ry system beg inn ing a n d end ing in the h e a r t . Yet t he cen t ra l i ty of t h e h e a r t s e e m s t o have b e e n k n o w n to the anc ien t E g y p t i a n s a n d it w a s f i rmly es t ab l i shed b y P l a to a n d Ar is to t le (3). Howeve r , t h e t w o l a t t e r l ikened t h e blood-vessels t o a cent r i fugal s y s t e m of i r r iga t ion-canals , w h i c h ca r r i ed the b lood f rom the h e a r t t o the pe r iphe ry , w h e r e it w a s to ta l ly a b s o r b e d . This concep t of t h e func t ion of t h e vessels w a s a d o p t e d by Galen a n d b y m o s t of h is successors u p to t h e t i m e of Harvey , a l t h o u g h they re jec ted t h e idea of t h e cen t ra l i ty of t h e h e a r t , c l a iming t h a t it p layed only a m i n o r role : t h e l iver be ing t h e m a i n sou rce of d i s t r i b u t i o n of t he b lood (4).

To es tab l i sh the concept of t he c i r cu la t ion of t h e b lood , in h o w e v e r theore t ic ­al a fashion, t h r e e e l emen t s a r e r e q u i r e d ; all t h r e e of w h i c h a r e c lear ly p r e s e n t in o u r H e b r e w w o r k , desp i t e t he c o r r u p t i o n of t he m a n u s c r i p t s . In t h e f i rs t p l ace o u r tex t specifically s t a t e t h a t t h e h e a r t is t h e d i s t r i b u t i o n po in t of t h e b lood w h i c h « g o e s a r o u n d » t h e body . Secondly , « the m a s s of t h e b l o o d » is obvious ly n o t t h r o u g h to b e a b s o r b e d a t t h e pe r iphe ry , s ince i t is sa id t o r e t u r n f rom t h e p e r i p h e r y to the h e a r t . Thi rd ly , it is c lear ly impl ied t h a t t he b lood r e a c h e s the p e r i p h e r y by one r o u t e a n d r e t u r n s f rom it by a n o t h e r : t h u s f u r t h e r imply ing m o t i o n in a circle, r a t h e r t h a n a n ebb-and flow m o v e m e n t of t h e b lood to a n d f rom the h e a r t .

As far a s I can tell o u r text is t h e f i rs t to satisfy all t h r e e of t hese c r i t e r ia . Yet it p rov ides only the c r u d e s t a n a t o m i c a l desc r ip t ion of t h e c i r cu l a r course , it does no t d i s t ingu i sh be tween the a r t e r i e s a n d veins , c i r cu l a r course , i t en t i re ly l acks any physiological a ccoun t of t h e « m o t i o n of t h e h e a r t » a n d i t gives no h i n t of a p u l m o n a r y c i rcu la t ion . However , a s r e g a r d s t h e theore t i ca l concept of t h e c i rcu la t ion of t h e blood — and in this alone — it appea r s to p recede no t only t h a t by Harvey , in h i s r e a s o n e d desc r ip t ion of t he c i r cu la t ion of t h e b l o o d a r o u n d t h e b o d y as a whole , b u t a lso i ts expos i t ion in t h e ear l ies t k n o w n accoun t of t h e

250

p u l m o n a r y c i r c u l a t i o n : as given b y I b n an-Nafis , t h e 13th c e n t u r y Arab phys i c i an (5).

Yet, a s w e shal l see, t h i s p i o n n e r v iew of t h e c i r cu la t ion is unl ike ly t o b e t h e or ig ina l c o n t r i b u t i o n of o u r H e b r e w compi le r . The fact t h a t i t s t r e s ses t h e cen t r a l i t y of t h e h e a r t m a y poss ib ly b e due to anc ien t E g y p t i a n inf luence, p e r h a p s t r a n s m i t t e d t h r o u g h he l len is t ic Alexandr ia , o r else m a y be a t t r i b u t e d t o Ar is to t le . On t h e o t h e r h a n d , s ince t h e hear t -valves a r e n o t m e n t i o n e d it m a y wel l p r e c e d e the t i m e of E r a s i s t r a t o s . I t could the re fo re b e a Greek — a n d poss ib ly a Greek-Jewish — p r o d u c t of Alexandr ian med ic ine , f rom the 3rd cen t u ry B.C. o r ear l ie r . T h o u g h poss ib ly inf luenced by anc ien t E g y p t i a n concep t s , a n d cer ta in ly b a s e d on the H i p p o c r a t i c w o r k Bones, o r on a c o m m o n source , th i s u n i q u e accoun t h a s so far only c o m e to l ight in a H e b r e w vers ion .

Un i ts f u n d a m e n t a l re l iance on Greek med ic ine a n d in i ts i n t e r e s t in a n a t o m y a n d « p h y s i o l o g y » , o u r H e b r e w encyc lopaed ia b e a r s s o m e r e s e m b l a n c e to t h e Syr i ac a n d ear ly Arabic w o r k s of th is k ind . Yet no t only does it lack t h e i r p r e d o m i n a n t l y Galenic ou t look , it even shows s igns of ear ly Lat in modi f i ca t ions of Greek concep t s , w h i c h c a n n o t be d i scussed he re . Moreover , it a l so differs f r o m t h e Graeco-Arabic t r a d i t i o n in t h e fo rm of i ts p r e sen t a t i on , a n d even in m u c h of i t s sub j ec t -ma t t e r . I t inc ludes i m p o r t a n t sec t ions , such as the in t roduc ­to ry « h i s t o r y » of med ic ine a n d the med ica l oa th , wh ich a re no t found in any anc ien t med ica l encyc lopaed ia o t h e r t h a n t h e t w o o ldes t I n d i a n w o r k s of th i s k ind . The re a r e di f ferent r ecens ions of t h e s a m e bas i c I n d i a n m a t e r i a l f rom t h e ear ly cen tu r i e s B.C., o r even before . In the i r p r e s e n t fo rms , a t t r i b u t e d to C h a r a k a a n d S u s r u t a respect ively , they d a t e f rom the first c en t u ry A.D., a l t hough a good dea l of l a t e r m a t e r i a l , up to the 7th cen t u ry a t least , h a s s ince b e e n a d d e d (6).

Like these I n d i a n w o r k s o u r H e b r e w encyc lopaed ia h a r k s b a c k to the super­n a t u r a l or ig ins of med ic ine : in t he one case e m a n a t i n g f rom God t h r o u g h Noah , a n d in the o t h e r case f rom t h e I n d i a n gods . Moreover , all t h r e e w o r k s a r e en t i re ly cas t in t h e m o u l d of t h e t each ings of a n anc ien sage : a fo rm qu i t e , un l ike t h a t of any Graeco-Arabic encyc lopaedia . One is t h u s forced to the conc lus ion t h a t whi le t he c o n t e n t s of o u r w o r k a r e essent ia l ly Greek, as fa r as i t s s t r u c t u r e is c o n c e r n e d the compi l e r looked to the I n d i a n encyc lopaed ia s .

S ince o u r w o r k differs in so m a n y ways f rom o t h e r encyc lopaed ias b a s e d on Greek concep t s , it is no t s u r p r i s i n g t h a t t h e r e h a v e b e e n m a n y conf l ic t ing ideas r e g a r d i n g i ts a u t h o r s h i p , p r o v e n a n c e a n d da t ing . Well over a c en t u ry ago the g r e a t Mor i tz S t e i n s c h n e i d e r (7) a n d o t h e r s m a i n t a i n e d t h a t it w a s a pseud-ep ig raph ica l w o r k , compi l ed a r o u n d the 10th cen t u ry A.D., a n d poss ib ly b a s e d on. Syr ia t r a n s l a t i o n s of anc i en t Greek m a t e r i a l . Al though it c l a imed to r e p r e s e n t t h e t each ings of a Jewish sage cal led Asaf, such a p e r s o n w a s mere ly a p r o t o t y p e a n d h a d in fact n e v e r exis ted. Howeve r , ever s ince 1916, w h e n Vene t i ane r p roduc ­ed t h e f i rs t c o m p r e h e n s i v e s t u d y of t h e w o r k as a whole , t h e preva i l ing v iew h a s b e e n t h a t it bas ica l ly r e p r e s e n t s t h e t each ings of a J ewi sh phys ic ian n a m e d Asaf, w h o l ived in Pa les t ine o r M e s o p o t a m i a at s o m e t i m e b e t w e e n the 3rd a n d 5 th c e n t u r i e s A.D., a l t h o u g h t h e w o r k w a s l a t e r revised a n d n e w m a t e r i a l w a s a d d e d (8).

My o w n op in ion coincides w i t h the o lder view, t h a t t h e w o r k is a pseudepi -g raph i ca l compi l a t i on f rom the ear ly Middle Ages, w h i c h then con t inued to g r o w by acc re t ion . However , I a m as yet u n a b l e t o offer a c o m p r e h e n s i v e t h e o r y of w h e n , w h e r e a n d h o w it evolved, a n d due t o lack of t i m e I c an only t h r o w o u t a few sugges t ions on these po in t s . S o m e of the Greek m a t e r i a l m a y have o r ig ina ted in Alexandr ia o r in t h e Syr ian or Pe r s i an c e n t r e s of Greek lea rn ing , w h e r e t h e anc ien t Egyp t i an , Syr ian , P e r s i a n a n d finally Arabic inf luences we re acqu i red , before t h e t ex t s , indiv idual ly or as a col lect ion, found the i r way to Eu rope .

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F r o m i ts l anguage , w h i c h a p p e a r s t o b e a l a t e f o r m of Bibl ical -Mishnaic H e b r e w , a n d f rom o t h e r cons ide ra t i ons , s o m e or m o s t of t h e i t e m s m a y wel l have b e e n t r a n s l a t e d i n t o H e b r e w in S o u t h e r n E u r o p e , poss ib ly in Byzan t ine S o u t h e r n I ta ly , a t s o m e t i m e b e t w e e n t h e 8th a n d 10th cen tu r i e s . H e r e t o o t h e w o r k a c q u i r e d i ts Graeco-Lat in inf luences a n d i ts encyc lopaed ic f o r m . T h e s t r o n g I n d i a n b ias in i ts p r e s e n t a t i o n a lso p r o b a b l y c a m e t o E u r o p e v ia W e s t e r n Asia, s ince t h e t w o m a i n I n d i a n encyc lopaed ias h a s b e e n t r a n s l a t e d in to P e r s i a n a n d Arab ic be fore t h e 10th cen tu ry .

T h e ear ly med iaeva l p e r i o d s a w a revival of i n t e r e s t in anc i en t J e w i s h c u l t u r e , w h i c h m a y to s o m e ex ten t accoun t , for t h e p s e u d e p i g r a p h i c a l p r e s e n t a t i o n of th is w o r k . I t s anc ien t Greek « p a g a n » ba s i s cou ld t h e n b e successful ly c a m o u f l a g e d by the a d o p t i o n of t h e I n d i a n m o d e l ; a lbei t in a J u d a i s e d f o r m w h e r e b y m e d i c i n e w a s given to t h e w o r l d b y t h e J e w i s h dei ty a n d t h e w o r k a s a who le w a s a t t r i b u t e d to a n anc ien t J ewi sh « s a g e » , w h o s e pup i l s w e r e m a d e to s w e a r a J u d a i s e d oa th .

R E F E R E N C E S

1. I . S i m o n , Asaph Ha Iehoudi. Médecin et Astrologue du Moyen-Age, Paris , Lipshutz , 1933, p . 50. 2. See C.R.S. Harris , The heart and the vascular system in ancient Greek medicine, Oxford,

Clarendon Press , 1973, chapter 2. 3. Plato, Timaios 11 c-d ; Aristotle , Parts of animals 668a, 10. 4. P. de Lacey ed. , Galen on the doctrines of Hippocrates and Plato, Berl in , Akademie Verlag,

1978, Book VI passim. 5. M. Meyerhof, Ibn An-Nafis (XII I th cent . ) and h is theory of the l esser c irculat ion, Isis,

1935 , 23, 100-120. 6. J. Fil l iozat, The classical doctrine of Indian medicine, trans. D.R. Chanana, Delhi , Munshi

R.M. Lai, 1964, pp . 4, 12, 16, 20. 7. M. Ste inschne ider , Assaf Judaeus , Hebräische Bibliographie. 1879, 19, 84-9 and ibid., Die

Hebraeischen Deb er Setzungen des Mittelalters, Ber l in , 1893 (Graz, 1956), p . 650. 8. L. Venet ianer , Asaf Judaeus, der aelteste medizinische Scritftsteller in hebraeischer Sprache,

3 pts . , Budapes t , 1915-17 ; S. Muntner , The ant iquity of Asaph the Physic ian and his ed i torship of the earl iest Hebrew book of medic ine , Bull. Hist. Med., 1951, 25, 101-131 ; Asaph the Physician - the man and his book, Ann Arbor, Michigan, "University Microf i lms, Inc . , 1972.

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